Active NPI
Joseph Johnston House, L.P
- Psychologist
- Maplewood, MN
National Provider Identifier
1285791558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP0281
- Practice address
- 2785 White Bear Ave N
Ste 403
Maplewood, MN 55109-1307 - Phone
- (651) 779-0069
- Fax
- (651) 779-0206
- NPI assigned
- Jan 3, 2007
- Last updated
- May 24, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP0281 | MN | Primary |
Addresses
Primary practice location
2785 White Bear Ave N
Ste 403
Maplewood, MN 55109-1307
Mailing address
2785 White Bear Ave N
Ste 403
Maplewood, MN 55109-1307
Phone (651) 779-0069
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP0281 | MN | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337817600000",
"number": "1285791558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2785 WHITE BEAR AVE N",
"address_2": "STE 403",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551091307",
"telephone_number": "651-779-0069",
"fax_number": "651-779-0206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2785 WHITE BEAR AVE N",
"address_2": "STE 403",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551091307",
"telephone_number": "651-779-0069",
"fax_number": "651-779-0206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSE",
"first_name": "JOSEPH",
"middle_name": "JOHNSTON",
"name_prefix": "Dr.",
"credential": "L.P",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2012-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP0281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maplewood, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.